Inspection Detail

Inspection: 303128938 - Jewell Manufacturing Inc

Inspection Information - Office: Or-E-Portland - Safety 1 1054111

Inspection Nr: 303128938

Report ID: 1054112

Date Opened: 10/26/1999

Site Address:
Jewell Manufacturing Inc
5525 Se 28th Ave
Portland, OR 97202

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:3542

NAICS: 0

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 12/06/1999

Planning Guide: Safety-Manufacturing

Emphasis:

Case Closed: 10/02/2000

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	4			3		7
Current Violations	4			3		7
Initial Penalty	$2,750	$0	$0	$2,500	$0	$5,250
Current Penalty	$2,750	$0	$0	$500	$0	$3,250
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citaton Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Contest	Latest Event
1.	01001	Serious	19100178 P01	02/17/2000	12/06/1999	$875	$875	$0		-
2.	01002	Serious	19100178 Q07	02/17/2000	12/06/1999	$875	$875	$0		-
3.	01003	Serious	19100178 L	02/17/2000	02/23/2000	$500	$500	$0		-
4.	01004	Serious	19100178 M03	02/17/2000	02/23/2000	$500	$500	$0		-
5.	02005	Other	7010052	02/17/2000	12/06/1999	$500	$2,500	$0	03/08/2000	L - State Settlement
6.	02006	Other	701070501	02/17/2000	12/06/1999	$0	$0	$0	03/08/2000	L - State Settlement
7.	02007	Other	701076506 A B	02/17/2000	12/06/1999	$0	$0	$0		-

Investigation Summary

Investigation Nr: 201630746

Event: 10/15/1999

Employee injured when struck by forklift

Employee #1 was on a break and sitting by an outside pipe storage rack. Two other employees were operating a forklift nearby. The forklift malfunctioned when the throttle stuck, and the two employees jumped from the forklift. The forklift traveled a short distance toward the pipe rack and struck Employee #1 sitting by the rack. Employee #1 sustained a dislocated shoulder and was hospitalized.

Keywords: SHOULDER, INDUSTRIAL TRUCK, DISLOCATED, PIPE, STORAGE RACK, STRUCK BY

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	303128938			Hospitalized injury	Dislocation	Occupation not reported

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